Meng Yajing, Deng Wei, Wang Huiyao, Guo Wanjun, Li Tao
Mental Health Center, West China Hospital of Sichuan University, Chengdu, China.
Psychiatric Genetics Laboratory, Biotherapy State Key Laboratory, West China Hospital of Sichuan University, Chengdu, China.
Addict Biol. 2015 Jul;20(4):799-808. doi: 10.1111/adb.12154. Epub 2014 Jun 3.
With the advancement in high-resolution magnetic resonance imaging (MRI) technology and automated analysis, studies on functional MRI (fMRI) made it possible to identify the functional activity of brain in vivo in individuals with Internet gaming disorder (IGD), and to explore the underpinning neuroscience basis of IGD. Yet, no available literature has systemically reviewed the fMRI studies of IGD using meta-analyses. This study reviewed 61 candidate articles and finally selected 10 qualified voxel-wise whole-brain analysis studies for performing a comprehensive series of meta-analyses employing effect size signed differential mapping approach. Compared with healthy controls, subjects with IGD showed a significant activation in the bilateral medial frontal gyrus (MFG) and the left cingulate gyrus, as well as the left medial temporal gyrus and fusiform gyrus. Furthermore, the on-line time of IGD subjects was positively correlated with activations in the left MFG and the right cingulated gyrus. These findings implicate the important role of dysfunctional prefrontal lobe in the neuropathological mechanism of IGD. Considering the overlapped role of prefrontal lobe in the reward and self-regulatory system, our results provided supportive evidence for the reclassification of IGD as a behavioural addiction.
随着高分辨率磁共振成像(MRI)技术和自动分析技术的进步,功能磁共振成像(fMRI)研究使得在患有网络游戏障碍(IGD)的个体中体内识别大脑的功能活动,并探索IGD的神经科学基础成为可能。然而,尚无文献使用荟萃分析系统评价IGD的fMRI研究。本研究回顾了61篇候选文章,最终选择了10项合格的体素全脑分析研究,采用效应大小符号差异映射方法进行一系列综合荟萃分析。与健康对照相比,IGD患者在双侧内侧前额叶皮质(MFG)、左侧扣带回、左侧内侧颞叶和梭状回有显著激活。此外,IGD患者的在线时间与左侧MFG和右侧扣带回的激活呈正相关。这些发现提示前额叶功能障碍在IGD神经病理机制中起重要作用。考虑到前额叶在奖赏和自我调节系统中的重叠作用,我们的结果为将IGD重新分类为行为成瘾提供了支持性证据。